Medica CompleteHealth

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Medica CompleteHealth

Accountable Care Organization network

Medica is working with Mayo Clinic Health System and other health care providers to bring you a new kind of health plan. When you choose Medica CompleteHealth, you have the peace of mind knowing you’re connected to thousands of the world’s leading medical experts. No matter what medical condition you and your family may face, you can benefit from having Mayo Clinic care, right in your community.

If you’re away from home and get sick or hurt, we’ve got you covered! When you travel outside the Medica service area (Minnesota, North Dakota, South Dakota and western Wisconsin) you can get network coverage by visiting a provider in the Travel Program Network. This nationwide network is one of the largest in the country. If you have children attending college outside the service area, they can use this network, too.

Plan Highlights

• Access to health care services covering basic care to complex, comprehensive care
• Personalized care from a team of providers based on your unique needs
• Coordinated care and support after a Mayo Clinic hospital stay or emergency room visit
• 24/7 nurse line
• Online access to your Mayo Clinic health records
• Help losing weight with the Mayo Clinic Diet program - free!

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You can compare this plan side-by-side with up to two other plans to see the differences between their benefits.

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Benefit Summary for Medica CompleteHealth

Network Benefits
Overall deductible [insert benefit]
Out-of-pocket limit [insert benefit]
If you visit a health care provider's office or clinic
Primary care visit [insert benefit]
Chiropractic visit [insert benefit]
Convenience care visit [insert benefit]
Specialist visit [insert benefit]
Preventive care/screening/immunization No charge.
If you have a test
Diagnostic test - lab [insert benefit]
Diagnostic test - x-ray [insert benefit]
Imaging (CT/PET scans, MRI) [insert benefit]
If you need drugs to treat your illness or condition
Generic drugs [insert benefit]
Preferred brand drugs [insert benefit]
Non-preferred brand drugs [insert benefit]
If you have outpatient surgery
Facility fee (e.g., ambulatory surgery center) [insert benefit]
Physician/surgeon fees [insert benefit]
If you need immediate medical attention
Emergency room care [insert benefit]
Emergency medical transportation [insert benefit]
Urgent care [insert benefit]
If you have a hospital stay
Facility fee (e.g., hospital room) [insert benefit]
Physician/surgeon fees [insert benefit]
Network information
Network type Accountable Care Organization network
Network area Southern Minnesota and western Wisconsin
Special features Personalized care from a team of providers based on your unique needs; coordinated care and support after a Mayo Clinic hospital stay or emergency room visit; help losing weight with the Mayo Clinic Diet program - free!
Referrals needed See any provider in the Medica with Mayo Clinic Health System network without a referral. All providers have direct access to Mayo Clinic's resources and expertise locally. If your provider determines you need specialty care at Mayo Clinic in Rochester, they will make the arrangements for your care.

How it Works

Medica CompleteHealth is an accountable care organization (ACO). In an ACO, groups of doctors, nurses and other health care providers work together with your health plan to provide coordinated care. You don’t need a referral when you see a provider in the Medica CompleteHealth network. All network providers have direct access to Mayo Clinic’s resources and expertise locally. If your provider determines you need specialty care at Mayo Clinic in Rochester, they will make the arrangements for your care.

» View the Summary of Benefits and Coverage for Medica CompleteHealth.

» Find a physician or facility in the Medica CompleteHealth network.
» See a map of provider locations in the Medica CompleteHealth network.



Information sharing
One of the unique features of an ACO plan is how Medica works with your provider to coordinate your health care. By sharing member information with each other, Medica and your ACO can help you get the care you need and deliver programs and services to help you get and stay healthy. If you or your dependents don’t want Medica and the ACO to share your information with each other:

» Complete this form
» Or call Customer Service at 952-945-8000 or 800-952-3455


Mayo Clinic® is an independent, nonprofit healthcare provider offering network access to its providers and health services. Mayo, Mayo Clinic, Mayo Clinic Health System and the triple-shield logo are registered trademarks and service marks of Mayo Clinic.

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